Understanding Scrotal Lumps: Causes and Care

Hello,

Thank you for reaching out to Dr. Galen. Please find the below response to your query.

Lumps on the scrotum that have been present for 1-2 years, causing itching and a bad odor due to excess sweat, could be attributed to various conditions. The presence of lumps on the scrotum can be normal or indicative of underlying issues. It is essential to seek medical advice for a proper diagnosis and treatment. Some common causes of lumps on the scrotum include: 

1. Sebaceous cysts: Swollen, blocked grease glands that appear as yellowish pimples on the scrotum. They are usually harmless but can become infected if they appear red and sore.

2. Angiokeratoma of Fordyce: Bright-red blood blisters that are normal and common on the scrotum, particularly in late teens.

3. Varicoceles: Swelling of veins around the testis, often feeling like a 'bag of worms' and more noticeable when standing.

4. Genital warts: Caused by a virus and can appear as lumps on the scrotum, requiring medical attention for treatment.

5. Testicular cancer: Although less common, lumps attached to the testicle can be a sign of testicular cancer, necessitating prompt medical evaluation. 

However, it's crucial to consult a healthcare professional for an accurate diagnosis and appropriate treatment plan. HS can be managed with a combination of lifestyle changes, medications, and sometimes surgical interventions. Your doctor may recommend things like wearing loose-fitting clothing, practicing good hygiene, using topical treatments, taking oral antibiotics, or in severe cases, undergoing surgical procedures.

Ignoring these symptoms or attempting to self-diagnose and self-treat can lead to complications, so it's best to seek medical attention promptly.

Thanks